Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

TYLER J VETTEL

Allopathic & Osteopathic Physicians Family Medicine

NPI
1164869061
CMS profile
1051424
Location
GRAND ISLAND, NE

General Payments · PY2018–2024

$467.82

  • Reported across 28 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$264.76

15 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $264.76 15

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $86.75 5
Otsuka America Pharmaceutical, Inc. $52.58 3
Exact Sciences Corporation $41.31 2
ABBVIE INC. $33.49 2
DEXCOM, INC. $21.92 1
Janssen Pharmaceuticals, Inc $14.59 1
PFIZER INC. $14.12 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $22.76 2
PY2020 $11.76 1
PY2022 $19.50 1
PY2023 $149.04 9
PY2024 $264.76 15

Payment records · PY2024 (15)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018202020222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $15.34 05/02/2024 Food and Beverage Undisputed 01/23/2026 1106282350 CMS
ABBVIE INC. $18.15 05/21/2024 Food and Beverage Undisputed 01/23/2026 1106282352 CMS
Dexcom, Inc. $21.92 08/20/2024 Food and Beverage Undisputed 01/23/2026 1153342007 CMS
Exact Sciences Corporation $19.36 01/18/2024 Food and Beverage Undisputed 01/23/2026 1114941298 CMS
Exact Sciences Corporation $21.95 10/07/2024 Food and Beverage Undisputed 01/23/2026 1114941302 CMS
Janssen Pharmaceuticals, Inc $14.59 06/04/2024 Food and Beverage Undisputed 01/23/2026 1078085334 CMS
Novo Nordisk Inc $16.24 01/31/2024 Food and Beverage Undisputed 01/23/2026 1097034517 CMS
Novo Nordisk Inc $14.81 02/20/2024 Food and Beverage Undisputed 01/23/2026 1097324260 CMS
Novo Nordisk Inc $13.77 07/17/2024 Food and Beverage Undisputed 01/23/2026 1097175006 CMS
Novo Nordisk Inc $18.34 08/22/2024 Food and Beverage Undisputed 01/23/2026 1096976190 CMS
Novo Nordisk Inc $23.59 11/06/2024 Food and Beverage Undisputed 01/23/2026 1097249514 CMS
Otsuka America Pharmaceutical, Inc. $20.14 01/23/2024 Food and Beverage Undisputed 01/23/2026 1118999827 CMS
Otsuka America Pharmaceutical, Inc. $17.54 04/16/2024 Food and Beverage Undisputed 01/23/2026 1118999829 CMS
Otsuka America Pharmaceutical, Inc. $14.90 06/20/2024 Food and Beverage Undisputed 01/23/2026 1118999831 CMS
PFIZER INC. $14.12 05/03/2024 Food and Beverage Undisputed 01/23/2026 1131450017 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2020, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2020 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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